aj2018

This is my first instrument validation/install. We currently have an Ortho ProVue as our blood bank analyzer, we also use manual gel and tube. We are getting a new Immucor Echo. Can anyone help with the validation of a new instrument. Can anyone send me a validation plan they followed before when implementing a new analyzer. How many different samples used, what types, how many different antibodies..etc. Also, I assume I need to correlate both instruments along with manual tube and manual gel?? we will be doing type and screens, panels, Cord bloods..etc. thank you

Can anyone tell me what kinda policy they have for blood/platelet/plasma transfusions for patients who had a bone marrow transplant.. What kind of blood platelets and plasma do you give them before engraftment/ during engraftment while they are converting and after engraftment? thank you

We are having a problem with our transfusion record form being filled out completely by the nurses, so I'm thinking maybe it needs to be simplified. I was wondering if anyone can send me a copy of their transfusion record form so I can get some ideas on what it looks like and the minimum info needed on it. currently, the nurses do document all the vitals, but we are having problems with them forgetting to have another nurse sign it even though they do the bedside checks together, forgetting to put the component number, or ABO/Rh, sometimes forgetting to put patient identification on the form (I'm thinking this is probably since its down at the bottom). I would appreciate any forms you can send so I can take a look. thank you

Does anyone have a procedure in place that they can email as far as techs to use when they thaw and relabel plasma to thawed plasma... Also, our blood supplier wont provide the labels..is there a specific vendor that you purchase a roll of labels from? thanks

We waste a lot of FFP when its only good for 24 hours after we thaw it. I'm looking into putting a procedure in place to change the FFP before the 24 hours are up into thawed FFP with 5 day out date. I was hoping someone has a procedure in place they can send my way for me to copy and use as a guide. Also, if they can tell me what I need as far as labels and changing ISBT product codes if needed... thanks

Im thinking about adding cord blood testing to our Provue. We already do ABO/RH QC but to add Cord blood testing, I need to work on adding a QC for the DAT. I know I can use any patient sample as my DAT NEG QC sample, but what about DAT POS QC?? I was wondering if anyone can share what they do for DAT positive QC...someone told me I can use an Rh positive patient sample and add anti-D to it, but not sure about how much Anti-D to add etc... thank you

I need to put into place a policy for providing HLA matched platelets, platelet crossmatching, and providing granulocytes for transfusion. I was wondering if anyone can help that has a policy already in place that they can send me a copy of so I can make a similar one. thank you in advance

I need to put into place a policy for providing HLA matched platelets, platelet crossmatching, and providing granulocytes for transfusion. I was wondering if anyone can help that has a policy already in place that they can send me a copy of so I can make a similar one. Thanks

How often do you send a patient out for an antibody ID to your reference lab? do you do it every time they come in and have a positive screen? do you do it on inpatients every three days and get a positive screen? what about patients with colds or HLAs previously identified. if you have two or three cells positive but can still rule out all significant alloantibodies, do u still send it out? is there a rule or a standard that talks about the frequency a workup has to be done..

CAP has a custom checklist for blood banks specific to that blood bank and only includes standards that apply to that specific blood bank. Its nice since you don't have to go through the whole master transfusion service checklist to find out what applies to your blood bank and what doesn't... What about AABB? is there a way to get a custom checklist from them or we have to go through all the standards in all ten categories? we are a small blood bank..we don't collect we don't irradiate and we don't pool or make components of any kind..we do limited antibody identification, type and screens, cord/rhogam testing, and very limited antigen typing. thanks for the help

Can anyone help me with pipette caliberation? if anyone has any forms that I can use as templates, procedure to use for the caliberation like gravimeteric or a colorimetric procedure..etc. it will be greatly appreciated. I understand according to CAP and AABB pipette caliberation has to be done semi annually..right? Do I have to caliberate all the MLA pipettes as well as the GEL MTS PIPETTE? thank you

Yes i was talking to one of the older techs at the hospital and it was put forth just in case kinda scenario. But im thinking its time to change that. There is no reason to do more work, waste tech time and also reagents. I just have to find a way to get everyone on the same page as far as checking for blood types and previous history before crossmatching and issuing units.

Apparently at this facility where i just started....they repeat the ABO on the patient EVERYTIME they crossmatch a unit on the same Type and screen tube..so basicly if i do a type and screen at 8am, then a blood order comes in that evening and another tech pulls the tube from the fridge to crossmatch a unit, that evening tech has to repeat the ABO!!! that seems like overkill, waste of time and reagents... i was always under the impression that as long as we have a history of an ABO on the patient in the system plus a valid (not more than 3 days old) type and screen done..we can go ahead and crossmatch units...RIGHT?

I know we need to have two ABO/RH testings before giving the patient any blood. The scenario is as follows... patient came in, doctor ordered a type and screen. no orders for any blood or any component. Do we need to do another ABO/RH??? i dont think so since no blood was given...right ? If this same patient needed blood in the future, we can do another ABO when that time comes...right? thank you..

they were using temp stickers called Safe-T-Vue here but stopped using them a while ago. So im wondering if we can go without using them as long as the coolers are caliberated and we have only a 4 hour time limit the cooler can be out or it has to get re-iced for an additional 4 hours.